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Home My WebLink AboutXR2023-1167 - Certificates of OccupancyCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1167 �F= tiem. Community Development Department- Building Division X R 2 0 2 3 1 1 6 7 F 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2004 6 = Permit Counter Phone: (949) 71B-1888 Issued Date : 05/1512023 newportbeachca.gov/civic Inspection Area : 8 c9</FppN�P Combination Type - ELEC PLUM Work Class - Other PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 1315 OXFORD LN Legal Desc : N TR 3000 BLK LOT 20 Description: SFR ATTACHED PATIO COVER CALIFORNIA ROOM WITH FIREPLACE 352 SF Owner: COPPOLA CHAD N TR Address : 1315 OXFORD LN NEWPORT BEACH, CA 92660 Phone Applicant: FERNANDO COBOS Address : 4571 DELANCY DR YORBA LINDA, CA 92886 Phone : (714) 932-3397 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U Bldg Height: Contractor: A R D CONSTRUCTION Address : 5422 BROOKHILL DR YORBA LINDA, CA 92886 Phone: (714)396-2385 Con State Lic : 883515 Lic Expire : 08/31/2024 Bus Lic : BT30081554 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: EXEMPT Policy No : EXEMPT W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 1 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: � SPECIAL CONDITIONS: Architect Address: Phone : a• State Lic: ^ - Engineer: NIKJOO SHAHRAM _ Address : 6011 E BRIGHTON LAME ANAHEIM, CA 92807 Phone: (714) 777-7200 Designer: FERNANDOCOBOS Address : 4571 DELANCY DR - YORBA LINDA, CA 92886 Phone: (714)932-3397 Construction Valuation : $10,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 1r`. 1r%�r—^— - a 9 eID ` m, wl ,., I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate. License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty of of more than five hundred dollars ($500). *1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, IusinP,ss and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves theproperty, provided that the nprovements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner -Budder will have the burden of proving that it was not built or nproved for the purpose of sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or Improves thereon, and Who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I I am exempt from licensors under the Contractors' State License Law for the following reason: ,y my signature below I acknowledge that, except for my personal residence In which I must have resided for at least one year prior to completion of the improvements covered by this permit, ( cannot legall) ell a structure that I have built as an owner -builder if it has not been constructed in its entirety, by licensed contractors. I understand that a copy of theapplicable taw, Section 7044 of tho Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:httpl/www.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of pefiury that I am licensed under provisions of Chapter 9 (commencing with Section 70 )S �Division 3 of the Business and Profs sions a my reu , se is In full force nd effect. Licenss ClLss License No Date �,$-'Z Contractor Signature PORKERS' CO61?'cySATION DECLARATION I FAILURE 10 LECGRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SV84ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE OST OF CUMPENSA rION- OkMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES_ hereby affirm under penaly, of perjury one of the following declarations: .A I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th e,fo,marse of the work or which this permit is issued. Policy No. have and will laaimain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Fence carrier -ind pclicy number are: Policy Number Date D1_ £.gem Phone # ry that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agresf ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ;ignalure of Applicant Dale ✓ �5=2::; )ECLARATION REGA D CONST UC�G AGENCY hereby affirm under penaltyof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). endor's Name Lender's Address ly my signature below, I Certify to each of the following: I am the property owner or authorizeq to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building. construction. I authorize representatives of this city or county to tertb a v = fierty for inspection purposes. �/ 'igoature of Property Owner or Authorized Agent 7 �C// Print Property Owner's or Authorized Agent's Name � �N7ti 4" L K-A,V1, Dak, ACTION 1 DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE EXPIRED PERroflT AT-EoJfP __ O f �.� *1"SIGNATU E:D NO LITIO TICIN 15 NOT PE-R�vfIT fM CER7IEICAYE OF PROPOSED MOLITION OCCUPANCY15SUEO